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Home My WebLink About2015 - 01173 - roofing 11CITY OF ORONO �� 111 * 2 0 1 5 - 0 1 1 7 3 2750 KELLEY PARKWAY DATE ISSUED: 09/16/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2605 WEST LAFAYETTE RD PIN : 21-117-23-21-0007 LEGAL DESC : SHORE HILLS : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 10,000.00 NOTE: VALUATION OF PERMIT:$ 10,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 201.36 MARQUISE CUSTOM HOMES&REMODELING STATE SURCHARGE(VALUATION) 5.00 12272 239TH AVE NW TOTAL 206.36 ELK RIVER,MN 55330- Payment(s) (612)490-4421 CREDIT CARD 7678 206.36 Minnesota State License#: BUIL-636045 OWNER PRIEM,MICHAEL&DAWN 2605 WEST LAFAYETTE RD EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. f/4// .„, eet-76 czt ,/(p ,is Applicant Permitee Signature Date Iss ed ignature Date e v CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS q, Mailing Address:PO Bx 66 Permit number. / ��`V�l' Crystal Bay,MN 55323-0066 Date received: Received by: Street Address:' 2750 Kelley Parkway Plan review fee: ei,(\ `-` Orono,MN 55356 �/7 {rkj s ii�i�� Total Fee: 47—D( ', 7 Main: 952-249-4600 Fax: 952-249-4616 This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: AOS ' 5-,t- Ld41/4(e_ c.. Sct / Cftyce MO 553D Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes ►: o if yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service T 11 be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: i Name: ti:.r ):; i 51.6" (-it)P°rte, eF' kft4e- iinil State License# I'3G ; Expiration Date: Phone: (cell) ,/01- -'If C -lila/ (office) ZIP: Mailing Address: 61)_.-44... 'ice 0J A.�.1 Ci : _ Vey- iS'35)o Contact Person: Applicant is: on ra • / Homeowner (circle one) Email and/or Fax: tr,41G rviv,'o. he tire, . i- /-1 i 3 -d...V/-(3yy PROPERTY OWNER INFORMATION: Name: Ink fr.?. Fr C/`°1 Phone(day): Address: ;,2,�,G.$ I�'e'i)- ere. � K RA_ City:O,rorl ZIP: 53 I cfir' Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): City: ZIP: Address: Email and/or Fax: PROJECT INFORMATION: Description of project: osal& e aDisp SewgDisp 1.Type of Project 2.Proposed Use 3.Structure Type 4. Wg S ❑New Construction tkingle Family with ktesidence ❑Addition attached garage arage/Accessory Bldg. ❑Public Sewer ❑Accessory Building ❑ Single Family with ❑Deck III Relocation (�^�� detached garage 0 Office/Commercial 0 Private Sewer 1'4 Other:(specify) Pt,- 120CJ J 0 Multiple Family/Condo ❑Warehouse 0 Public 0 Storage 0 Public Water *"Any earth movement may also require ❑Commercial 0 Other(specify) M 0 Private Well CWD review&permits. 0 Industrial Minnehaha Creek Watershed District(MCWD) 0 Other:(specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 Estimated Construction Valuation(excluding land) $ Mt 000 STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= `n Wood/Frame b.Width(ft.)= Number of garage stalls: 0 asonry ❑Metal Areas in square feet Attached= 0 Pole Bldg. c. Basement= Detached= ❑ICF d. 151 Story = 0 On-site Prefab e.2nd Story= 0 Off-site Prefab f. %Story = 0 Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ 0 Permit Application ❑ 0 Proposed Building Plans ❑ 0 MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ 0 Survey(meeting all requirements) ❑ 0 Stormwater Pollution Prevention Plan ❑ 0 Hardcover Calculation(s) ❑ 0 Septic System Site Evaluation Report ❑ 0 Access Permit ❑ 0 Wetland Buffer Improvement Plan ❑ 0 Engineered Plans for Retaining Walls 4 feet or above ❑ 0 Minnehaha Creek Watershed District Permit(s) ❑ 0 Plan Review Fee ❑ 0 Application Escrow&Agreement ❑ 0 Other. APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested,a temporary Certificate of Occupancy may be issued upon receipt of a;10,000 escrow to ensure completion of the as-built survey and all site improvements. Date: / —/ ` Applicant's Signature: 74/1/44/1' __ Owner's Signature: Date: 1 % n PATE TIME 1,' CITY OF ORONO CALLED IN Y `- INSPECTION NQQI5 )J/7� SCHEDULED �Z. </-'-3 v PERMIT NO. o� 7 25 //�OMPLEfED ADDRESS /(�/ �'�� /.t-flcn'- OWNER � r' • TELE/ ONE •.� �i CONTRACTOR f/ . ' - J I IF DESCRIPTION ' 44)*? W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP i 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO O ) COMMENTS: A f" 4.1 Q. CC a 1 — 5* ------( fe'r/l04))'7714ij o liri N. IX 0 u_ W CC Q W Z W CC d W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE IL W ❑ ECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours'n advance. 52 i '4600 so OwnerlContractor on site: A, AW/ Inspector. 40 White Copy/inspector's File Canary Copy/Site Notice Ci 7 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED A,kW 5 PERMIT NO._ / - 1)I( 7 COMPLETED ADDRESS ' 2 (PD 5 bu : ( OElac c. U- )2 OWNER TELEPHONE NO. _ c -y‘ 1' CONTRACTOR I-)CEA-Le—Q- CIA_.(d-� , DESCRIPTION 7 d /- &C W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 1.1. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING CI) 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RA N SLAB 0 MECHANICAL RI 0 SITE INSPECTION _ 0 F AMING 0 MECHANICAL FINAL 0 RATED WALLS is INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT r FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ S BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL J ❑ DEMO-SITE 0 SEPTIC INTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES 17 NO c COMMENTS:---------- ) —1/4e_.--1- 1.()1 p,,0 (1_.) U cc ) oy) s-1 `-L , /i 6a ie CC 67� S( )$ Lido_,,„ /3.&7` . oo W CC Q 2 W W CC OA CCeig 144V K Y IQ ❑WORK SATISFACTORY:PROCEED O PROJ -eMPLETE W CICORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Oc..) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CI CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR CI INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952 249-4600 Owner/Contractor on site: , / Inspector. White Copyllnspector's File Canary Copy/Site Notice